Scopus
🔓 Açık Erişim YÖKSİS DOI Eşleşti
SJR Q1
Evaluation of Caesarean Expenditures of Households in Benin
Health and Social Care in the Community · Ocak 2023
YÖKSİS Kayıtları
Evaluation of Caesarean Expenditures of Households in Benin
Hindawi Limited · 2023 SSCI
Doç. Dr. EMEL FİLİZ →
YÖKSİS Kayıtları — ISSN Eşleşmesi
Effects of health literacy education on adaptation to pregnancy, self‐efficacy, fear of childbirth and health literacy in Turkish pregnant women: A randomized, controlled trial
2022 ISSN: 0966-0410 SSCI Q2
Doç. Dr. YASEMİN ERKAL AKSOY →
Makale Bilgileri
ISSN09660410
Yayın TarihiOcak 2023
Cilt / Sayfa2023
Scopus ID2-s2.0-85172120008
Erişim🔓 Açık Erişim
Özet
After years of effort, sub-Saharan Africa has seen little improvement in maternal and neonatal health indicators. Providing all women with access to emergency obstetric care is an accepted effective strategy to reduce maternal and neonatal mortality. In many African countries such as Benin, the cost of health care is a major obstacle to access obstetric care. The aim of this study was to evaluate the caesarean section expenditures of households in Benin and to determine the strategies for obtaining the necessary resources to meet the caesarean section expenditures of the households. Three hospitals and 505 households in the Littoral region were sampled, and data were collected by applying a questionnaire to the people accompanying the woman to the hospital. The socioeconomic status of the households was evaluated using a wealth index created by principal component analysis. Factors significantly associated with expenditure were determined using multivariate linear regression analysis. Despite the free caesarean section policy in effect, households spend a median of US$180.60 (IQR: 148.13-222.35) for a caesarean section, of which 76.0% are direct costs, 17.0% are indirect costs, and 7.0% are opportunity costs. Expenditures vary considerably depending on the residence area of the household, the presence of complications, the presence of health insurance, the socioeconomic class of the households, the education level, and working status of the woman. Finally, households use 11 strategies to obtain funds to pay for the caesarean costs. While poor households resort to foreign aid, asset sales, and/or current spending cuts, the rich use their income and/or savings to cover their caesarean section expenses. The results favour the adoption of a mechanism for direct exemption of the costs of caesarean sections payable by the poorest households, in addition to the current free caesarean policy.
Yazarlar (2)
1
Tchomi Oluwa Romuald Tchadrack Gnimassou
ORCID: 0000-0002-1062-8155
2
Emel Filiz
Kurumlar
Abomey-Calavi University
Godomey Benin
Selçuk Üniversitesi
Selçuklu Turkey
Scimago Dergi (ISSN Eşleşmesi)
Health and Social Care in the Community
Q1
SJR Skoru0,984
H-Index91
YayıncıJohn Wiley and Sons Ltd
ÜlkeUnited Kingdom
Health Policy (Q1)
Public Health, Environmental and Occupational Health (Q1)
Social Sciences (miscellaneous) (Q1)
Social Work (Q1)
Sociology and Political Science (Q1)
Metrikler
1
Atıf
2
Yazar